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EDWARD TABASKY
NPI 1962817866
Student in an Organized Health Care Education/Training Program in Brockton, MA

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
940 BELMONT ST, BROCKTON, MA 02301(774) 826-2458 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward Tabasky NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD TABASKY (NPI 1962817866) is an individual student in an organized health care education/training program in Brockton, Massachusetts and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1962817866
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDWARD TABASKY
Location Address940 BELMONT STBrockton, MA 02301-5596
Mailing Address940 Belmont StBrockton, MA 02301-5596
Phone(774) 826-2458
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 30, 2014
✔ NPI 1962817866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
940 BELMONT ST, Brockton, MA 02301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edward Tabasky is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385057769
PECOS Enrollment IDI20201231001571
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN ELIZABETH SULLIVAN
Social Worker (Clinical)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. JENI ELAINE NORSTROM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2188
JOSEPH KEENE
Licensed Practical Nurse
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2160
MRS. ROBIN PARENTE R.N.
Registered Nurse (Critical Care Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-1194
DANIELLE NIXON LCSW
Case Manager/Care Coordinator
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
ANAIS LUGO-GUERCIO
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
MRS. TRUDY ROSE RADVILLE OTR/L
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. PEGGY MENTOR MD
Family Medicine (Geriatric Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (857) 364-4418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Tabasky's NPI number?

The NPI number for Edward Tabasky is 1962817866. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Edward Tabasky located?

Edward Tabasky practices at 940 Belmont St, Brockton, MA 02301. The listed phone number is (774) 826-2458.

What is Edward Tabasky's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Edward Tabasky enrolled in Medicare?

Yes. Edward Tabasky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Edward Tabasky was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.